In order to create policies and programs that serve the needs of
people with disabilities in rural communities, it is important to know things
about them, such as demographic information and location. The federal
government maintains several large data sets that collect this information.
However, it can be difficult to access rural disability data from these data
sets (see Data Limitations in the American Community
Survey: The Impact on Rural Disability Research).
To address this, RTC:Rural is conducting rural analyses of
existing large data sets to contribute to a national disability statistics
“Attending CANAR meetings allows us to meet face to face
with our advisors and reach a broader audience of tribal stakeholders,” said
Ipsen. “Together, we are developing a resource that is appropriate across
tribal vocational rehabilitation programs.”
In the paper, Repke and Ipsen analyze survey data from the
Reform and Disability Survey to explore how a number of factors are related
to social participation and perceived isolation for people with disabilities,
and to see if there are differences for those who live in rural vs urban areas.
These factors include number of disabilities, self-rated health, employment
status, and living arrangements (alone or with others).
Previous studies have compared social isolation to smoking
in terms of risk to public health. Some groups of people have a much higher
risk of social isolation, including people with disabilities and rural
residents. This research builds on previous work by considering how the
potentially compounding effects of disability status and living in a rural area
may affect social participation and perceived isolation.
The passage of the Patient Protection and Affordable Care
Act (ACA) and adoption of Medicaid expansion was associated with substantial
increases in insurance coverage across the United States (see Changes
in coverage and access, MACPAC 2019). However, RTC:Rural
researchers wanted to know how ACA policy changes and Medicaid expansion impacted
people with disabilities, particularly those who live in rural areas.
To explore this question, RTC:Rural researchers analyzed
microdata from the 2008-2013 American Community Survey
Using these data, they were able to compare how insurance coverage has changed
over time for people with and without disabilities in rural and urban places,
and in expansion and non-expansion states.
Last week, RTC:Rural was in Connecticut for the Consortia of
Administrators for Native American Rehabilitation (CANAR) 2019
mid-year conference held in Mashantucket, CT. RTC:Rural Director Dr. Catherine
Ipsen, Research Associate Dr. Meredith Repke, and Knowledge Translation
Associate Lauren Smith met with advisor partners and presented the progress to
date on the Tribal Vocational Rehabilitation (VR) Self-Employment Toolkit.
CANAR meetings bring together representatives from tribal VR
programs across the country two times each year. “The meetings provide an
important opportunity to share our work and gather additional stakeholder input
about efforts to translate our self-employment materials for tribal VR
programs,” said Ipsen.
Over the past semester, RTC:Rural Director Dr. Catherine Ipsen worked with University of Montana (UM) undergraduate Nelson Weaver on his senior capstone project about the effects of loneliness on the aging population. Weaver’s poster presentation won a best presentation award at UM’s Conference of Undergraduate Research. He graduated in May 2018 with a major in psychology and a minor in communication studies.
Weaver contacted Ipsen about his interest in psychology and well-being of those experiencing mental and physical impairments and asked about possible capstone research opportunities. “This inquiry came at the perfect time,” said Ipsen. “I was juggling lots of projects, but wanted to make headway on a grant proposal idea focused on aging and health impacts of loneliness. Nelson was the perfect fit.”
On April 23, Dr. Meredith Repke, RTC:Rural Research
Associate, will present findings from the Rural
Access to Health Insurance and Health Care study, a partnership
between RTC:Rural and the Collaborative on Health Reform and Independent Living
(CHRIL), at the 2019 NARRTC conference.
This year’s conference theme is “Inclusive Disability Research and Practice:
Building on our History.” The study is being led by RTC:Rural Director Dr.
Repke is presenting as part of a panel of researchers on the
project who are sharing different findings from the 2018 National Survey on
Health Reform and Disability (NSHRD). CHRIL conducted the survey to understand
how changes in health care reimbursement strategies affect working-age people
with disabilities in terms of access to health insurance, as well as associated
health care and quality of life outcomes. RTC:Rural researchers helped recruit
people with disabilities from rural areas, and will use their data to answer
some rural-specific questions.
On February 28, 2019, RTC:Rural director Dr. Catherine Ipsen presented a webinar for Project E3: Educate, Empower, and Employ, the Vocational Rehabilitation (VR) Technical Assistance Center for Targeted Communities. Project E3 works with state VR agencies and partners across the U.S. to help people with disabilities from underserved communities achieve their independent living and employment goals.
“The purpose of the Research Review was to showcase research projects that harness administrative data to improve services for people with disabilities,” Ipsen said. “In addition to representatives from the Rehabilitation Services Administration (RSA), Social Security Administration (SSA), and the Department of Housing and Urban Development (HUD), several researchers described projects that used administrative data to answer and inform research questions.” Continue reading →
Dr. Catherine Ipsen, RTC:Rural Director and Director of Employment Research
On February 22, 2019, RTC:Rural Director Dr. Catherine Ipsen will travel to Washington D.C. to present as part of the National Institute on Disability, Independent Living, and Rehabilitation Research (NIDILRR)’s Administrative Data and Employment Research Review. Dr. Ipsen will be giving a presentation on Rehabilitation Services Administration (RSA) data, titled “Using RSA-911 Data to Frame and Inform Rural Research.” RSA-911 is the national data collection system used by the RSA to monitor vocational rehabilitation (VR) programs and identify successful practices.
Dr. Ipsen was invited to share how RTC:Rural has and continues to use federal data, including RSA-911 data, to inform research direction, identify gaps in knowledge, and to create solutions that are relevant to people with disabilities in rural communities. Continue reading →